We have reported two cases of neurinoma (intradural extramedullary tumor, dubbell tumor) in the upper cervical region. In these cases there was recovery from motor difficulty and sensory disturbance after total removal of the tumor by cervical laminectomy.
Case 1. a 45-years old male had had progressige difficulty in walking for the last ten months prior to his admission to our clinic. Myelography showed incomplete block at the level of C1 and C2.
Case 2. a 47-years old male had had progressive difficulty in mobility of four limbs, especially left side, for the last three months prior to his admission to our clinic. Myelography showed incomplete block at the level of C1.
Patients with suboccipital headache who manifest pyramydial deficites and capricious sensory symptoms may well have a tumor of foraman magnum.